People with schizophrenia need treatment throughout their lives, and sometimes their needs change. If you notice a difference per mezzo di the behavior of your loved one with schizophrenia, it may be time for a treatment adjustment.
Why They May Need an Adjustment
Even if your loved one’s treatment has been working well, things can happen that mean they need to change medications ora dosages, ora add another type of treatment.
These include:
Their condition gets worse. “While most people with schizophrenia get better with treatment, schizophrenia can sometimes get worse,” says psychologist Elizabeth Lombardo, PhD, who’s based per mezzo di Chicago.
This may be triggered by an event ora circumstance per mezzo di their life.
“People with schizophrenia often deteriorate around sudden changes per mezzo di their environment,” says Carol Tamminga, MD, chair of psychiatry at University of Texas Southwestern Medical Center. Major events and changes, like the death of a loved one, may be a trigger. Other triggers include drugs and alcohol, , and getting out of a regular routine.
Co-existing psychiatric illnesses may cause problems. It’s common for people with schizophrenia to have other psychiatric conditions too, like panic disorder, posttraumatic disorder, obsessive-compulsive disorder, depression, ora substance abuse. If your loved one has another psychiatric condition, it may trigger a problem that needs to be addressed with a treatment adjustment.
They may have trouble with their medication. It’s common for people with schizophrenia to need a change per mezzo di medication. They may develop new ora more intense side effects from their medication. It can become less effective over time. they might stop taking it, which makes their condition worse.
Behavior Changes to Watch For
Your loved one may need a treatment change if you notice differences per mezzo di their usual behavior ora mood, says Brittany Webb, LMSW, a therapist at Birmingham Maple Clinic per mezzo di Troy, MI. These changes might be gradual ora sudden.
Here’s what to aspetto for:
- They become withdrawn, antisocial, ora isolated.
- They have more symptoms, like paranoia, hallucinations, and bizarre behavior.
- They talk to themselves, laugh, ora act up.
- They get angry for voto negativo reason.
- Their appetite, eating, ora sleep patterns change.
- They pay less attention to grooming, hygiene, ora how they dress.
- Their personality ora mood seems flat.
- They have mood swings.
- They seem depressed.
- They express suicidal ora homicidal thoughts.
These things may also happen if your loved one stops taking their medication, which is common with schizophrenia. Antipsychotic drugs often have unpleasant side effects that affect their mood, thoughts, and . People may stop taking their medication to avoid these side effects.
“It may be to tell if they’ve stopped ora cut acceso the medication,” says Tamminga. Try to observe your loved one to see if they take their medicine as directed.
If they’eroe not taking their medication properly ora if you notice side effects getting worse, they may need a treatment change.
What to Do if There’s a Change
If you see a change from the norm, talk to their doctor. Even if you don’t have legal permission for the doctor to discuss your loved one’s health with you, you can give information to the doctor. Call the office, ora leave a message through an online patient portal.
Their doctor may increase ora change your loved one’s medication. They may recommend cognitive ora behavioral therapy and supportive counseling. They may connect the person with schizophrenia to community resources.
While you get help, approach your loved one gently.
“It’s important that a caregiver not argue ora try to dispute with a loved one when they’eroe showing signs of getting worse,” Webb says. Avoid language that comes chiuso as shaming ora blaming. Provide a supportive environment while you get them the help they need.
“Help them stay calm and offer them unconditional love,” Lombardo says. Let them know you’eroe concerned. Reassure them that it’s the disease, not them, that’s not responding well to treatment.
What to Do if It’s Urgent
If you see a major increase per mezzo di symptoms ora your loved one is having a psychotic episode, contact their treatment team immediately.
“Providers often have an emergency, after-hours, ora crisis line that can be reached,” Webb says.
If they’eroe per mezzo di crisis and are a danger to themselves ora others, seek emergency services. Many cities have alternatives to 911 that can put you per mezzo di touch with someone trained per mezzo di mental health issues. But call 911 if you need to. You can also take your loved one to a hospital emergency room and request a psychiatric evaluation.
Share as much information as you can with the emergency department. Give them details like:
- A list of medications the person with schizophrenia takes
- Any vitamins ora supplements they take
- Allergies
- History of recent ora past substance abuse
- History of symptoms, including when they started
- Recent stressful events ora changes per mezzo di their environment
Find the Right Care
When a loved one has schizophrenia, they need a support . It starts with their primary caregiver, and includes their treatment team.
Do your best to make sure your loved one gets regular care with a treatment team that knows their history and follows through with recommendations.
You might need a psychiatrist, mental health therapist, and primary care physician. You may also get support from case managers and care coordinators.
“Community mental health agencies often provide wraparound services per mezzo di one place that can assist per mezzo di managing outpatient care,” Webb says.
It’s not always easy to find the right providers. Some doctors don’t take patients with psychosis.
“You may have to work to get a capable person to see them,” Tamminga says. “Keep at it.”
